Provider Demographics
NPI:1164821054
Name:DRUMM, JONATHAN AARON I (FNP)
Entity Type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:AARON
Last Name:DRUMM
Suffix:I
Gender:M
Credentials:FNP
Other - Prefix:MR
Other - First Name:NA
Other - Middle Name:NA
Other - Last Name:NA
Other - Suffix:I
Other - Last Name Type:Other Name
Other - Credentials:APN
Mailing Address - Street 1:30 BURTON HILLS BLVD
Mailing Address - Street 2:STE 175
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-6403
Mailing Address - Country:US
Mailing Address - Phone:615-988-2014
Mailing Address - Fax:615-208-1303
Practice Address - Street 1:4400 IVORY AVE
Practice Address - Street 2:
Practice Address - City:SIGNAL MOUNTAIN
Practice Address - State:TN
Practice Address - Zip Code:37377-3426
Practice Address - Country:US
Practice Address - Phone:423-667-3987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-18
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000179903163W00000X
GARN243336363L00000X
TN19018363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse